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为了提高供肾的质量和利用率,对128例供肾变异血管的处理进行了总结。128例中99例为双支肾动脉,22例为3支肾动脉,1例为4支肾动脉。术中采用Carel片与髂外动脉或髂内动脉行端侧吻合,在低温条件下,将变异肾动脉行裤叉端侧或二者兼之的吻合方式修复成单一动脉与髂内动脉吻合,或将变异动脉分别与髂内动脉及其分支吻合等方法处理。一年肾存活率为73.43%,与无血管变异供肾移植一年存活率78.81%比较无显著性差异。认为,修肾时正确处理供肾变异血管可缩短温缺血时间,保证供肾血供,减少血管并发症和促进肾功能恢复
In order to improve the quality and utilization of the kidneys, the treatment of 128 cases of renal vascular variability was summarized. Of the 128 patients, 99 were bilateral renal arteries, 22 were 3 renal arteries, and 1 was 4 renal arteries. Intraoperative use of Carel tablets and the external iliac artery or internal iliac artery end-to-end anastomosis at low temperatures, the variant renal artery on the end of the pants or both of the anastomosis repair of a single artery and internal iliac artery anastomosis, or The variant artery and internal iliac artery and its branches anastomosis and other methods. The one-year survival rate of kidney was 73.43%, which showed no significant difference from the one-year survival rate of 78.81% without vascular variation for kidney transplantation. That the proper treatment of renal graft renal vascular variability can shorten the time of warm ischemia, to ensure donor blood supply, reduce vascular complications and promote renal function recovery